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NPI Code Detail

MEDICARE: RUTH NINA DIMALANTA CASTILLO MS, OTR/L

MEDICARE:   RUTH NINA DIMALANTA CASTILLO  MS, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist2993AZ

General Provider Information

NPI Number : 1548265564
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTH NINA DIMALANTA CASTILLO MS, OTR/L
Provider Business Mailing Address
First Line : 815 E WARNER RD STE 106
Second Line :
City : CHANDLER
State : AZ
Zip : 85225-1057
Country : US
Telephone Number : 480-577-7941
Fax Number : 480-963-5805
Provider Business Practice Location Address
First Line : 815 E WARNER RD STE 106
Second Line :
City : CHANDLER
State : AZ
Zip : 85225-1057
Country : US
Telephone Number : 480-577-7941
Fax Number : 480-963-5805
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 11/12/2019

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Directions to “ RUTH NINA DIMALANTA CASTILLO MS, OTR/L” Practice Location

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